Table Of ContentSANFRANCISCOPUBLICLIBRARY
3 1223 04180 1979
ESTIMATES OF THE NUMBER OF PERSONS INFECTED WITH HIV
IN SAN FRANCISCO BY RACE/ETHNICITY
SURVEILLANCE BRANCH, AIDS OFFICE
SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH
JUNE 28, 1993
DOOi IMPMTS DEPT,
DEO L 1993
SAN FRANCISCO
PUBLIC LIBRARY
if*****
1993
spCcr
REF 614.5993 Es86
Estimates of the number
of persons infected
1993
.
S^.rLJLIQLIBRARY
3 1223 04180 1979
I. EXECUTIVE SUMMARY
This report provides estimates of the prevalence of HTV
infection by race and ethnicity in the City and County of San
Francisco in 1993. These data are based upon the large body of
research that has been conducted in San Francisco during the past
decade, and include estimates of the number of persons at risk,
the prevalence of HTV, and the number of persons infected with
HIV.
It is estimated that approximately 28,000 men, women and
children are currently living with HIV infection in 1993,
representing almost 4% of the City's population. San Francisco
has the highest number of HIV-infected persons per capita of any
major city within the United States.
It is estimated that the majority of persons currently living
with HTV infection in San Francisco are white (61%), most of whom
are gay and bisexual men. Persons of color represent 39% of
2d with HTV. In 1992, only 25% of persons
m :e persons of color. Together, these
l>* DOCUMENTS DEPT :t in recent years towards increasing
among persons of color.
t the vast majority of persons infected
;co are either gay and bisexual men,
xr sexual partners of gay and bisexual men
;. Although the majority of gay and
living with HIV infection are white, most
SAN FRANCISCO
• infants and children living with HIV are
PUBLIC LIBRARY
s highlight the key findings from this
REFERENCE
D00 men, women, and children are living
BOOK an Francisco in 1993, representing nearly
tion.
Nottobetakenfromthe Library rsons estimated to be living with HIV,
e gay and bisexual men, 1,700 are
ther than gay and bisexual males), 880 are
Tien with other risks, and 83 are infants
or children.
3. More than 10,700 persons of color are currently living
with HIV infection in San Francisco, representing 39% of all
those currently infected with HTV.
4. Among those living with HTV infection, 61% are white, 16%
are African American, 14% are Latino, 8% Asian/Pacific Islander,
and 1% are Native American.
REF 614.5993 Es86
Estimates of the number
of persons infected
1993
.
SSrLJLICLIBRARY
3 1223 04180 1979
I. EXECUTIVE SUMMARY
This report provides estimates of the prevalence of HTV
infection by race and ethnicity in the City and County of San
Francisco in 1993. These data are based upon the large body of
research that has been conducted in San Francisco during the past
decade, and include estimates of the number of persons at risk,
the prevalence of HTV, and the number of persons infected with
HTV.
It is estimated that approximately 28,000 men, women and
children are currently living with HIV infection in 1993,
representing almost 4% of the City's population. San Francisco
has the highest number of HIV-infected persons per capita of any
major city within the United States.
It is estimated that the majority of persons currently living
with HIV infection in San Francisco are white (61%), most of whom
are gay and bisexual men. Persons of color represent 39% of
those currently infected with HTV. In 1992, only 25% of persons
diagnosed with AIDS were persons of color. Together, these
findings suggest a shift in recent years towards increasing
numbers of infections among persons of color.
It is estimated that the vast majority of persons infected
with HTV in San Francisco are either gay and bisexual men,
injection drug users, or sexual partners of gay and bisexual men
or injection drug users. Although the majority of gay and
bisexual men currently living with HTV infection are white, most
injection drug users or infants and children living with HTV are
persons of color.
The following points highlight the key findings from this
report:
1. An estimated 28,000 men, women, and children are living
with HTV infection in San Francisco in 1993, representing nearly
4% of the City's population.
2. Of the 28,000 persons estimated to be living with HTV,
approximately 25,000 are gay and bisexual men, 1,700 are
injection drug users (other than gay and bisexual males), 880 are
women and heterosexual men with other risks, and 83 are infants
or children.
3. More than 10,700 persons of color are currently living
with HTV infection in San Francisco, representing 39% of all
those currently infected with HTV.
4. Among those living with HTV infection, 61% are white, 16%
are African American, 14% are Latino, 8% Asian/Pacific Islander,
and 1% are Native American.
.
II. METHODS
Estimates of the number of persons infected with HIV are
derived from estimates of the prevalence of HIV infection and the
size of the populations at risk. These estimates are based upon
numerous studies conducted in San Francisco in recent years,
including probability samples of San Francisco neighborhoods,
cohort studies of gay and bisexual men, random digit-dial
telephone surveys, clinic—based unlinked serosurveys, studies of
young men who have sex with men, surveys of childbearing women,
studies of heterosexual partners, street-based studies of
injection and non—injection drug users, and screening of blood
donors
The estimated numbers of gay and bisexual men by
race/ethnicity was based on a composite of distributions from the
following sources: reported cases of persons diagnosed with AIDS
in 1992, a random digit-dial survey of gay and bisexual men
(Communications Technologies, 1990), a survey of young men who
have sex with men conducted in 1992 and 1993 (Young Men's Survey,
1992/93), an unlinked HIV seroprevalence survey at a sexually
transmitted disease clinic (City Clinic, 1991), and data from the
1990 U.S. census.
The estimated numbers of injection drug users by
race/ethnicity was based on a composite of distributions from the
following sources: population-based household surveys of African
Americans (Polaris Research & Development, 1989), Latinos
(Fairbank, Bregman and Maullin, 1989), Filipinos (The Asian
American Health Forum/Filipino Task Force on AIDS, 1990), Chinese
(Asian American Recovery Services, 1990), Japanese (Asian
American Recovery Services, 1990), and Southeast Asians (Center
for Southeast Asian Refugee Resettlement, 1991). Other sources
of data included unduplicated counts of clients in treatment
(Community Substance Abuse Services, SFDPH, 1990-91), reported
cases of persons diagnosed with AIDS in 1992, unlinked HIV
seroprevalence surveys at several drug treatment centers,
street-based surveys of drug users (Urban Health Study, 1991-92)
and data from the 1990 census.
Estimates of the total number of adults and adolescents and
infants and children are based on the 1990 U.S. census. The
population estimates for women and heterosexual men with other
risk factors are calculated by subtracting the population size
estimates for other categories (gay and bisexual men, LDUs, and
infants and children) from the total San Francisco population
estimates by race and ethnicity.
ESTIMATES OFTHE NUMBER OF PERSONS INFECTEDWITH HIV
IN SAN FRANCISCO BY RACE/ETHNICITY
SANFRANCISCODEPARTMENTOFPUBLICHEALTHAIDSOFFICE
AFRICAN ASIAN/ NATIVE
RISKGROUP WHITE AMERICAN LATINO PACIFICIS. AMERICAN OTHER TOTAL
|
ayandBisexualMen
(Non-IDUs 14,587 3,028 3,355 2,027 161 NA 23,158
IDUs 1,223 210 234 142 11 NA 1,820
SUB-TOTAL 15,810 3,238 3,589 2,169 172 NA 24,978
jectionDrugUsers
HeterosexualMen 418 637 103 21 8 2 1,188
.
Women 158 290 44 6 3 1 502
SUB-TOTAL 576 927 147 27 11 3 1,690
-_J_
i
therAdults/Adolescents
HeterosexualMen 120 44 33 38 1 2 239
Women 376 139 72 46 4 2 639
;
SUB-TOTAL 496 183 105 84 6 4 878
ifantsandChildren 29 29 16 8 1 83
:
OTAL 16,910 4,378 3,857 2,288 189 7 27,629
JIVSEROPREVALENCE 5.0% 5.7% 3.8% 1.1% 7.2% 0.5% 3.8%
.IVINGAIDSCASES 3,911 584 531 109 20 NA 5.155
AsofMarch31.1993)
1ATIO 4.32 7.50 7.26 20.99 9.47 NA 5.36
HIVINFECTIONTOAIDSCASES)
ESTIMATEDPOPULATIONSIZEBYRACE/ETHNICITY
SANFRANCISCO.1993
I
AFRICAN ASIAN/ NATIVE
RISKGROUP WHITE AMERICAN I LATINO PACIFICIS. AMERICAN !' OTHER TOTAL
<
GayandBisexualMen
y
Non-IDUs 35,578 5,506 7,802 5,792 322 55,000
IDUs 1,941 300 426 316 18 3,000
SUB-TOTAL 37,519 5,806 i 8,228 6,107 ; 340 0J 58.000^h:
InjectionDrugUsers
HeterosexualMen 3,979 2,961 i 977 472 i 77 .34j 8,500 mi
Women 2,106 i 1,568 i 517 250 "JK. 18 | 4,500 w
SUB-TOTAL 6,085 4,529 1,494 722 118 52 13,000
:
!•;
OtherAdults/Adolescents
120,043 22,094 33,178 76,447 606 704 253,071
i I
Women 150,446 30,936 39,956 91,197 1,121 704 314,359
SUB-TOTAL 270,489 53,029 73,134 167,643 1,727 1.408 567,431!
InfantsandChildren 23,025 12,979 17,861 31,213 451 NA 85,529
TOTAL 337,118 76,343 100,717 205,686 2,635 1,460 723,959,
06-28-93
I
POPULATIONESTIMATESOFGAY/BISEXUALMEN
SANFRANCISCO,1993
AFRICAN ASIAN/ NATIVE
WHITE AMERICAN LATINO PACIFICIS. AMERICAN OTHER TOTAL
)SCASES*92 0.7978 0.0754 0.1027 0.0193 0.0048 NA 1.0000
f 46,272 4,373 5,957 1,119 278 NA 58,000
... . :...
UHS"84 (NOTUSED) 0.876 0.04 0.054 0.03 NA NA 1.0000
50,808 2,320 3,132 1,740 NA NA 58,000
iMMUNICATION 0.83 0.04 0.08 0.045 0.005 NA 1.0000
CHNOLOGIES.1990 48,140 2,320 4,640 2.610 290 NA 58.000
IS1992/93 0.497 0.122 0.225 0.15 0.006 NA 1.0000
28.826 7,076 13,050 8,700 348 NA 58,000
DUNLINKED1991 0.63 0.16 0.16 0.04 0.01 NA 1.0000
36.540 9,280 9.280 2,320 580 NA 58,000
DPULATIONDISTRIBUTION 0.4796 0.1031 0.1416 0.2722 0.0035 NA 1.0000
(390CENSUS) 27,817 5,980 8,213 15,788 203 NA 58,000
OMPOSITE 0.6469 0.1001 0.1419 0.1053 0.0059 0.0000 1.0000
37,519 5,806 8.228 6,107 340 58.000
i-28-93
POPULATIONESTIMATESOFINJECTIONDRUGUSERS
SANFRANCISCO,1993
j
AFRICAN ASIAN NATIVE
WHrTE AMERICAN LATINO PACIFICIS. AMERICAN OTHER TOTAL
AIDSCASES.1981-92 0.4023 0.4417 0.141 0.0113 0.0037 ; ! 1.0000 I
5.230 5.742 1,833 147 48 I ; 13.000 j
POPULATIONBASED 0.5196 I 0.2437 ; 0.0747 0.1527; NA 0.0093 ; 1.0000 j
SURVEYS,1989-91 6,755 j 3.168 ; 971 j 1,985 : 121 i 13,000 :
UNLINKEDHIVSURVEYS, 0.6004 0.2381 0.122 0.0292 0.0037 0.0066 1.0000
j : : i ; ; i
1990 7,805 3,095 1,586 380 48 86 13,000
! : j i i j !
URBANHEALTHSTUDY, 0.35 0.47 0.122 0.029 0.029 1.0000
j ! i j
1991-92 t,550 6,110 1,586 377 377 13,000
I :
COMPOSfTE 0.4681 0.3484 0.1149 0.0556 0.0091 0.0040 1.0000
6,085 4,529 1,494 722 118 52 13.000
06-28-93
